Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
| Jobs: 51 - 60 of 60 |
Kapolei, Hawaii
Performance Use account data and critical thinking to effectively marry customer goals and objectives to HMSA's products and services. Achieve membership goals, quotas and minimum activity standards Manage RFI and RFP responses ensuring acc...
12d
| Job Type | Full Time |
Honolulu, Hawaii
Participates in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. Manage workflows to meet sub-project timeframes. Participate in the identificat...
12d
| Job Type | Full Time |
Network Management Coordinator
Kahului, Hawaii
Directs and provides guidance to employees responsible for timely and accurate responses to providers' inquiries regarding contracting, claims, benefits and complex issues that include medical or payment policy questions and provider paymen...
18d
| Job Type | Full Time |
Honolulu, Hawaii
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
20d
| Job Type | Full Time |
Honolulu, Hawaii
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from int...
20d
| Job Type | Full Time |
Account Implementation Consultant
Honolulu, Hawaii
Develop a plan and manage the "onboarding" and implementation of the system for designated customers, serving as a liaison with internal and external customers to move them onto an electronic platform. Work with large and/or complex account...
22d
| Job Type | Full Time |
MS Billing & Research Specialist I
Honolulu, Hawaii
Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner. Ensure appropriate approval levels a...
22d
| Job Type | Full Time |
Honolulu, Hawaii
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
22d
| Job Type | Full Time |
Senior Manager, Member Advocacy & Appeals
Honolulu, Hawaii
Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department including the investigation and resolution of cases, compliance with required processes, tracking, reporting, notifications to members and provider...
22d
| Job Type | Full Time |
Honolulu, Hawaii
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
22d
| Job Type | Full Time |
(web-7d594f9859-68c9j)
